• Restorative Dentistry and Endodontics
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• 제42권1호
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• pp.1-8
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• 2017

Objectives: The purpose of this study was to evaluate the effect of adhesive luting on the fracture resistance of zirconia compared to that of a composite resin and a lithium disilicate glass ceramic. Materials and Methods: The specimens (dimension: $2mm{\times}2mm{\times}25mm$) of the composite resin, lithium disilicate glass ceramic, and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) were prepared. These were then divided into nine groups: three non-luting groups, three non-adhesive luting groups, and three adhesive luting groups, for each restorative material. In the non-luting groups, specimens were placed on the bovine tooth without any luting agents. In the non-adhesive luting groups, only zinc phosphate cement was used for luting the specimen to the bovine tooth. In the adhesive luting groups, specimens were pretreated, and the adhesive luting procedure was performed using a self-adhesive resin cement. For all the groups, a flexural test was performed using universal testing machine, in which the fracture resistance was measured by recording the force at which the specimen was fractured. Results: The fracture resistance after adhesive luting increased by approximately 29% in the case of the composite resin, 26% in the case of the lithium disilicate glass ceramic, and only 2% in the case of Y-TZP as compared to non-adhesive luting. Conclusions: The fracture resistance of Y-TZP did not increased significantly after adhesive luting as compared to that of the composite resin and the lithium disilicate glass ceramic.

• 대한치과의사협회지
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• 제53권3호
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• pp.178-186
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• 2015

Dental polymer-based luting materials are classified into esthetic resin cement, adhesive resin cement and self-adhesive resin cement. Due to the different component of each type of resin cement, the preconditioning method of tooth surface and the steps are different from each type of resin cement. The pre-treatment of adherend (ceramic, resin and metal) surface also varies with the type of resin cement and the manufacturer. In this study, the characteristics of each type of resin cement, mechanical properties, indication and advantages were investigated. Through these, clinical tips on using resin cements were suggested.

• The Journal of Advanced Prosthodontics
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• 제10권4호
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• pp.308-314
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• 2018

PURPOSE. Plasma activation of hydrophobic zirconia surfaces might be suitable to improve the bond strength of luting materials. The aim of this study was to analyze the influence of nonthermal argon-plasma on the shear bond strength (SBS) between zirconia and different combinations of 10-MDP adhesive systems and luting composites after artificial aging. MATERIALS AND METHODS. Two hundred forty Y-TZP specimens were ground automatically with $165{\mu}m$ grit and water cooling. Half of the specimens received surface activation with nonthermal argon-plasma. The specimens were evenly distributed into three groups according to the adhesive systems ([Futurabond U, Futurabond M, Futurabond M + DCA], VOCO GmbH, Germany, Cuxhaven) and into further two subgroups according to the luting materials ([Bifix SE, Bifix QM], VOCO GmbH). Each specimen underwent artificial aging by thermocycling and water storage. SBS was measured in a universal testing machine. Statistical analysis was performed using ANOVA and $Scheff{\grave{e}}$ procedure with the level of significance set to 0.05. RESULTS. Surface activation with nonthermal plasma did not improve the bond strength between zirconia and the tested combinations of adhesive systems and luting materials. The plasma-activation trended to reveal higher bond strength if the self-etch luting material (Bifix SE) was used, irrespective of the adhesive system. CONCLUSION. Plasma-activation seems to be suitable to improve bond strength between zirconia and self-etch resin materials. However, further research is necessary to identify the influence of varying plasma-parameters.

• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.487-501
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• 1998

In the case of CAD/CAM ceramic inlay restorations, if isthmus width is widened too much, it may cause fracture of remaining tooth structure or loss of bonding at the luting interface because of excessive displacement of buccal or lingual cusps under occlusal loads. So to clarify the criterior of widening isthmus width, this study was designed to test the tensile bond strength and bond failure mode between dentin and ceramic cemented with luting composite resin cements. Cylindrical ceramic blocks(Vita Cerec Mark II, d=4mm) were bonded to buccal dentin of 40 freshly extracted third molars with 4 luting composite resin cements(group1 : Scotchbond Resin Cement/Scotchbond Multi-Purpose, group2 : Duolink Resin Cement/ All-Bond 2, group3: Bistite Resin Cement/Ceramics Primer, and group4:Superbond C&B). Tensile bond test was done under universal testing machine using bonding and measuring alignment blocks(${\phi}ilo$ & Urn, 1992). After immersion of fractured samples into 1 % methylene blue for 24 hours, failure mode was analysed under stereomicroscope and SEM. Results: The tensile bond strength of goup 1, 2 & 4 was $13.97{\pm}2.90$ MPa, $16.49{\pm}3.90$ MPa and $16.l7{\pm}4.32$ MPa, respectively. There was no statistical differences(p>0.05). But, group 3 showed significantly lower bond stregnth($5.98{\pm}1.l7$ MPa, p<0.05). In almost all samples, adhesive fractures between dentin and resin cements were observed. But, in group 1, 2 & 4, as bond strength increased, cohesive fracture within resin cement was observed simultaneously. And, in group 3, as bond strength decreased, cohesive fracture between hybrid layer and composite resin cement was also observed. Cohesive fracture within dentin and porcelain adhesive fracture were not observed. In conclusion, although adhesive cements were used in CAD/CAM -fabricated ceramic inlay restorations, the conservative priciples of cavity preparation must be obligated.

• Restorative Dentistry and Endodontics
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• 제16권1호
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• pp.121-132
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• 1991

The purpose of the study was to evaluate the marginal sealing effect of composite resin inlays according to the luting techniques and compare them to the conventional direct resin filling technique. 90 cavities of class V were prepared on the buccal surface of 90 extracted molar teeth, which were divided into four groups. Cavities of control group were directly filled with Scotchbond 2 and P - 50, and those of composite resin inlay groups were luted with one of the followings: Adhesive bond followed by Adhesive cement, All bond followed by Adhesive cement, Fuji - ionomer type L All the specimens were immersed in India ink dye solution for 7 days at $37^{\circ}C$ incubator after thermocycling between $5^{\circ}C$ and $60^{\circ}C$ and longitudinally sectioned with diamond disk inot two parts All the specimens were observed at the occlusal and gingival margins and statistical analysis was performed. The results were as follows: 1. Groups filled with composite resin inlay showed less marginal leakage than the group directly filled(p<0.01). 2. There was no significant difference in marginal leakage between composite resin inlay groups luted with Adhesive bond followed by Adhesive cement and the group luted with All bond followed by Adhesive cement(p>0.05). 3. At occlusal margins, Composite resin inlay group luted with Adhesive bond followed by Adhesive cement showed less marginal leakage than the group luted with Fuii ionomer type I(p<0.01). At gingival margins, composite resin inlay group luted with All bond followed by Adhesive cement showed less marignal leakage than the group luted with Fuji ionomer type I(P<0.01).

• 대한소아치과학회지
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• 제45권3호
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• pp.314-323
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• 2018

이 연구의 목적은 3종 시멘트의 전단결합강도를 평가하고 열순환 시행이 전단결합강도에 미치는 영향을 알아보고자 한다. 소아치과에서 사용되는 소아용 기성 지르코니아 전장관($NuSmile^{(R)}$ ZR crown)의 내면과 유사한 디스크 형태의 지르코니아 시편(Zirconia discs)을 제작하였다. 소아용 기성 지르코니아 전장관의 내면과 지르코니아 시편의 표면이 동일하도록 같은 몰드를 이용하여 제작하였으며 주사전자현미경을 통해 유사함을 확인하였다. 60개의 지르코니아 시편과 60개의 유구치 상아질 시편을 3종의 시멘트 $Ketac^{TM}$ Cem Permanent Glass Ionomer Luting Cement(KGI), $RelyX^{TM}$ Luting Plus Cement(RLP), $RelyX^{TM}$ Unicem Self-Adhesive Universal Resin Cement(RUR)에 따라 20개씩 나누고, 열순환 시행 유무에 따라 다시 10개씩 2개의 하위그룹으로 나누었다. 하위그룹 A는 열순환을 시행하지 않았고 하위그룹 B는 5500회의 열순환을 시행하였다. 만능 재료 시험기를 이용하여 전단결합강도를 측정한 후 파절 양상을 주사전사현미경으로 관찰하였다. 지르코니아 시편 및 유구치 상아질 시편에 접착한 시멘트의 전단결합강도는 RUR이 KGI와 RLP보다 높았으며 통계적으로 유의한 차이가 관찰되었다(p < 0.05). RUR의 전단결합강도는 열순환 시행하지 않은 군과 열순환 시행한 군 사이에 통계적으로 유의한 차이가 없었다.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 2005년도 추계학술대회
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• pp.74-74
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• 2005

• Restorative Dentistry and Endodontics
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• 제38권4호
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• pp.234-240
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• 2013

Objectives: This study evaluated the effects of intraradicular moisture on the pushout bond strength of a fibre post luted with several self-adhesive resin cements. Materials and Methods: Endodontically treated root canals were treated with one of three luting cements: (1) RelyX U100, (2) Clearfil SA, and (3) G-Cem. Roots were then divided into four subgroups according to the moisture condition tested: (I) dry: excess water removed with paper points followed by dehydration with 95% ethanol, (II) normal moisture: canals blot-dried with paper points until appearing dry, (III) moist: canals dried by low vacuum using a Luer adapter, and (IV) wet: canals remained totally flooded. Two 1-mm-thick slices were obtained from each root sample and bond strength was measured using a push-out test setup. The data were analysed using a two-way analysis of variance and the Bonferroni post hoc test with p = 0.05. Results: Statistical analysis demonstrated that moisture levels had a significant effect on the bond strength of luting cements (p < 0.05), with the exception of G-Cem. RelyX U100 displayed the highest bond strength under moist conditions (III). Clearfil SA had the highest bond strength under normal moisture conditions (II). Statistical ranking of bond strength values was as follows: RelyX U100 > Clearfil SA > G-Cem. Conclusions: The degree of residual moisture significantly affected the adhesion of luting cements to radicular dentine.

• Restorative Dentistry and Endodontics
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• 제30권6호
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• pp.493-504
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• 2005

본 연구는 상아질 접착제와 레진 시멘트의 적합성 여부를 알아보고자 시행하였다. 발거한 제3대구치의 상아질 표면을 노출시킨 후 Tescera ATL 복합레진 시편을 상아질 접착제 [All Bond 2 (Bisco), Clearfil SE Bond (Kuraray), Adper Prompt L-POP (3M), One-Up Bond F (Tokuyama)]와 레진시멘트 [Choice (Bisco), Panavia F (Kuraray), RelyX ARC (3M), Bistite II DC (Tokuyama)]로 접착하고 미세인장 결합강도 및 주사전자 현미경 관찰을 시행한 결론은 다음과 같다. 1. Clearfil SE Bond와 All-Bond 2가 Prompt L-Pop과 One-Up Bond F 보다 높은 미세인장 결합강도를 보였다(p<0.05). 2. Clearfil SE Bond와 All-Bond 2 사용시 1-step 상아질 접착제보다 혼성층이 두껍고 레진 tag가 길었다.

• The Journal of Advanced Prosthodontics
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• 제10권5호
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• pp.374-380
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• 2018

PURPOSE. The effect of silica-based glass-ceramic liners on the tensile bond strength between zirconia and resin-based luting agent was evaluated and compared with the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primers. MATERIALS AND METHODS. Titanium abutments and zirconia crowns (n = 60) were fabricated, and the adhesive surfaces of the specimens were treated by airborne-particle abrasion. The specimens were divided into 5 groups based on surface treatment: a control group, 2 primer groups (MP: Monobond Plus; ZP: Z Prime Plus), and 2 liner groups (PL: P-containing Liner; PFL: P-free Liner). All specimens were cemented with self-adhesive resin-based luting agent. After 24-hour water storage and thermocycling (5,000 cycles, $5^{\circ}C/55^{\circ}C$), the tensile bond strength was measured using a universal testing machine. Failure mode analysis and elemental analysis on the bonding interface were performed. The data were analyzed using Kruskal-Wallis test, Dunn's post hoc test, and Fisher's exact test. RESULTS. The liner groups and primer groups showed significantly higher tensile bond strengths than that of the control group (P<.05). PFL showed a significantly higher tensile bond strength than the primer groups (P<.05). The percentage of mixed failure was higher in the primer groups than in the control group (P<.001), and all the specimens showed mixed failure in the liner groups (P<.001). A chemical reaction area was observed at the bonding interface between zirconia and liner. CONCLUSION. The application of liner significantly increased the tensile bond strength between zirconia and resin-based luting agent. PFL was more effective than MDP-containing primers in improving the tensile bond strength with the resin-based luting agent.